Being the leader in medical eye care administration is the direct result of OptiCare Managed Vision's extensive knowledge base and our willingness to invest in the development of systems that put that knowledge to work in a practical way for you. One of the hallmarks of our medical management program is the minimization of pre-authorization requirements. By utilizing provider contracts that pre-define correct billing guidelines for those services not requiring pre-notification, we have eliminated a great deal of administrative time, which translates to dollars saved.

OptiCare Managed Vision has unsurpassed experience in the review and analysis of eye care specific utilization patterns and claims processing factors that can result in identification of fraud and abuse. OptiCare follows CMS, CCI, AAO,and NCQA guidelines. Using systems that apply proprietary eye care claims algorithms and "scrubbing" techniques in either a retrospective or prospective environment, OptiCare can identify areas where savings opportunities exist. Practice pattern analysis of eye care providers across the full spectrum of sub-specialties can provide valuable information on outlying patterns within the provider panel.

OptiCare will work directly with their health plan clients to set up and initiate outcome studies. Our track record in improving health plan HEDIS scores in the area of diabetic eye exam rates is well documented. OptiCare is eager to share our experience in this area and will assist in setting up a customized program that will offer measurable improvement in plan HEDIS scores for diabetic eye examination screenings.

OptiCare will use its many years of managed eye care experience to provide ongoing recommendations to lower costs and improve quality of care. The fee for OptiCare Managed Vision's Medical Management Services can be structured on a per member per month basis or on a percentage of savings basis.

To request more information on OptiCare's Medical Management Services contact: Sales@OptiCare.net.